Primary true enterolithiasis: A rare cause of acute small bowel obstruction

Jadib, A.; Tabakh, H.; Ouazzani, Lamiaa Chahidi El; Boumlik, Keltoum; Boutachali, Romaissaa; Siwane, A.; Touil, N.; Kacimi, O.; Çhikhaoui, N.

doi:10.1016/j.radcr.2021.11.032

Cited by 7 publications

(16 citation statements)

References 14 publications

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“…Similar to our case, the formation of primary enterolith or stone material inside the small bowel without any precipitating factor has been reported in the past, however, the mechanism remains unclear [ 1 , 6 , 7 ]. In one case the enterolith contained uric acid but again without any association with any other anatomical, functional or biochemical abnormality (e.g hyperuricemia) [ 7 ].…”

Section: Discussionsupporting

confidence: 86%

“…The usual contents include fecal matter, calcium phosphates, magnesium, bacteria, debris, and unconjugated bile acids [ 4 , 5 ]. Choleic acid enteroliths require lower pH and are most commonly seen in the duodenum and the proximal small bowel as opposed to calcium salt stones that form in an alkaline environment usually in the distal ileum [ 6 , 7 ]. False enteroliths such as bezoars form during their passage through the intestinal lumen inspissating with enteral contents [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Symptoms likely occur with larger enteroliths in a setting of obstruction or another complication or may be related to the underlying intestinal abnormality precipitating the enterolith formation (e.g. chronic inflammation) [ 6 ]. Imaging such as plain films, contrast studies, and computed tomography may be helpful in diagnosis and also reveal possible associated intestinal pathology.…”

Section: Discussionmentioning

confidence: 99%

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Primary Jejunal Enterolith Causing Small Bowel Obstruction Without Any Underlying Bowel Abnormality

Karveli¹,

Barlow²,

Grant³

et al. 2022

Cureus

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Enterolith formation is a rare condition precipitated by decreased bowel motility. It may cause obstruction or other complications and the diagnosis usually is confirmed after surgery and analysis of the stones or fragments. It is often seen in association with intestinal abnormalities such as diverticula and inflammation or in biliary tract fistulas where stones migrate to the duodenum and small bowel. We report an unusual case of a primary true enterolith formation in a patient without any underlying bowel condition or any previous surgery.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Primary Jejunal Enterolith Causing Small Bowel Obstruction Without Any Underlying Bowel Abnormality

Karveli¹,

Barlow²,

Grant³

et al. 2022

Cureus

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“…The exact pathophysiology is unclear, but intestinal dysmotility, high intraluminal pressures, and weak points in the alimentary tract are thought to be strong contributors to this condition. About 10% of individuals with jejunoileal diverticulosis may develop complications such as bowel obstruction, haemorrhage, and diverticulitis[ 9 - 11 ].…”

Section: Discussionmentioning

confidence: 99%

Recurrent small bowel obstruction secondary to jejunal diverticular enterolith: A case report

Lee¹,

Menezes²

2022

WJGS

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BACKGROUND Small bowel diverticulosis is an uncommon condition which is usually asymptomatic and is discovered incidentally. One rare complication is enteroliths forming in the diverticula causing bowel obstruction. Only a few cases of such have been described in literature, and recurrence from this aetiology has not been reported previously. This case report outlines the management of a 68-year-old male who presented with recurrent small bowel obstruction secondary to jejunal diverticular enterolith impaction, seven months following a previous episode. CASE SUMMARY A 68-year-old male presented with symptoms of small bowel obstruction. Computed tomography (CT) of the abdomen demonstrated small bowel obstruction from an enterolith formed in one of his extensive jejunal diverticula. He required a laparotomy, an enterotomy proximal to the enterolith, removal of the enterolith, closure of the enterotomy, and resection of a segment of perforated ileum with stapled side-to-side anastomosis. Seven months later, he represented to emergency department with similar symptoms. Another CT scan of his abdomen revealed a recurrent small bowel obstruction secondary to enterolith impaction. He underwent another laparotomy in which it was evident that a large enterolith was impacted at the afferent limb of the previous small bowel anastomosis. A part of the anastomosis was excised to allow removal of the enterolith and the defect was closed with cutting linear stapler. In the following two years, the patient did not have a recurrent episode of enterolith-related bowel obstruction. CONCLUSION The pathophysiology underlying enterolith formation is unclear, so it is difficult to predict if or when enteroliths may form and cause bowel obstruction. More research could provide advice to prevent recurrent enterolith formation and its sequelae.

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“…Investigations such as abdominal x-ray or CT scan can guide in making diagnosis and management. Traditionally abdominal x-ray was used as a first-line to identify enteroliths especially calcium salts [15]. Nowadays, CT abdomen is readily available and used to identify the presence of enteroliths, their locations, underlying pathology as well as any complications [15].…”

Section: Discussionmentioning

confidence: 99%

Enterolith from Small Bowel Diverticulum as an Uncommon Cause of Acute Small Bowel Obstruction and Literature Review

2022

J Surg

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Small bowel diverticula, though rare, can cause serious complications requiring surgical interventions. We report a case of a 73-year-old male presented with a mechanical small bowel obstruction secondary to enterolith from a small bowel diverticulum. The patient underwent a diagnostic laparoscopy and enterotomy with removal of dislodged enterolith in the setting of small bowel diverticular disease.

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Primary true enterolithiasis: A rare cause of acute small bowel obstruction

Cited by 7 publications

References 14 publications

Primary Jejunal Enterolith Causing Small Bowel Obstruction Without Any Underlying Bowel Abnormality

Primary Jejunal Enterolith Causing Small Bowel Obstruction Without Any Underlying Bowel Abnormality

Recurrent small bowel obstruction secondary to jejunal diverticular enterolith: A case report

Enterolith from Small Bowel Diverticulum as an Uncommon Cause of Acute Small Bowel Obstruction and Literature Review

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